NPI | 1477759512 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 247915) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 247915) |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: VA 0101272673) | |
Enumeration Date | 2007-06-25 |
Last Update Date | 2021-10-11 |